Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-11-18-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-0.0/21.8 |
| Award Date | 12/03/2019 |
| Closeout Date | 09/28/2022 |
| Work Description | San Mateo US 101 Express Lanes North |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 11/18/2020 | Sample Unique Key | 4 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/18/2020 | Sample type | Quality Assurance |
| A brief description of the sample | A325 Bolt Assembly | The quantity of what the sample constitutes | 39 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Ken |
| Last name of sampler or witnessed by | Riley | Title of sampler | Quality Assurance Inspector |
| Telephone number of sampler | 510-520-4147 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Structural and Steel Products | |
| Transportation Laboratory (TL) Number | TL-102 | Inspector Lot Number from the Transportation Laboratory (TL) Form | B389-012-20 |
| Structure unique identifier | Structure name | OHSS S63 | |
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 430804AR |
|---|---|---|---|
| Heat Number(s) | 100201802, DL19105173, 180226 | Nut Mfg. Lot Number(s) | 431190A |
| Washer Mfg. Lot Number(s) | 317500 | Bolt Specification | ASTM A325 |
| Bolt Length(s) | 2" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Mech Galv-B695 |
| Diameter/Size | 3/4"x2" | Bolt Mfg. Lot Number | 43084A |
| Rocap Test Requirement(s) | Yes | Lubricant Requirements(s) | Yes |
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||